Healthcare Provider Details

I. General information

NPI: 1497417687
Provider Name (Legal Business Name): THIN & HEALTHY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 N CABLE RD
LIMA OH
45805-1737
US

IV. Provider business mailing address

709 N CABLE RD
LIMA OH
45805-1737
US

V. Phone/Fax

Practice location:
  • Phone: 833-777-1770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: VINCENT PIGUE
Title or Position: OPERATIONS
Credential:
Phone: 501-909-1337